Upper / Lower Blepharoplasty New York City
About the Procedure
Eyelid Surgery or Blepharoplasty is a procedure to remove excess fat, sagging or wrinkled skin and sometimes muscle from the upper and/or lower eyelids. As the skin ages and sags, the upper eyelid can accumulate excess skin creating a “hooding” effect which is often aesthetically displeasing to patients and can even interfere with vision. The opposite seems to occur for volume in the lower eyelid area. As the area around the eyes age and volume is displaced, there is a movement of fat from under the eye in a diagonal fashion towards the cheek. This can result in dark circles, “puffy” lower eyelids, and eyebags. The Lower Blepharoplasty procedure is best used to reduce the appearance of lower eyebags and smooth the lower eyelid region.
The Best Candidate for an Upper Blepharoplasty
Aging in the upper eyelid region is not uniform and varies greatly among patients. The Upper Blepharoplasty procedure is recommended for patients with upper eyelid hooding that results from excess eyelid skin. Wrinkling and excess upper eyelid skin appear as we age due to decreased skin elasticity and volume loss from the brow region. The hooding effect that occurs can cause vision impairments.
For patients with deeper set eyes, a hollowing effect may occur as the aging process progresses, resulting a fish-eyed or doll-eyed deformity. Patients experiencing upper eyelid hollowing may benefit from Pearl Fat Grafting to the upper eyelids.
The Best Candidate for a Lower Blepharoplasty
A Lower Blepharoplasty does not specifically treat wrinkling like an Upper Blepharoplasty, but removes excess fat that situates itself below the eye as we age. Often referred to as Eyebags, a Lower Blepharoplasty is used to remove the pockets of fat that emerge when facial fat shifts as a result of aging and gravity.
Dr. Yang’s upper eyelid blepharoplasty involves removing some upper eyelid skin and fat by making an incision along the crease of the eyelid. For the lower eyelid procedure (also known as Transconjunctival Blepharoplasty), however, when there is no excess skin involved, Dr. Yang removes any excess fat by making an incision on the inside or the pink inner lining of the lower eyelid where stitches are not necessary. When there is excess skin involved in the lower eyelid procedure, Dr. Yang makes an incision from the outside, just below the eyelashes, to remove both excess skin and fat. For some patients, to achieve a more youthful look around the eyes Dr. Yang will recommend only lower eyelid surgery and not an upper eyelid blepharoplasty. The same holds true for Dr. Yang’s patients who only need upper eyelid blepharoplasty to achieve the same youthful result.
The surgery usually takes close to an hour each for the upper or lower eyelids. Patients should expect some swelling, but discomfort should be minimal. Dr. Yang removes the stitches within 7-10 days of the procedure and most patients resume normal activities within 2 weeks after the surgery.